• 제목/요약/키워드: Critical risk factors

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Knowledge and Opinions Regarding Oral Cancer among Yemeni Dental Students

  • Al-Maweri, Sadeq Ali;Abbas, Alkasem;Tarakji, Bassel;Al-Jamaei, Aisha Saleh;Alaizari, Nader Ahmed;Al-Shamiri, Hashem M
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권5호
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    • pp.1765-1770
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    • 2015
  • Background: Oral cancer presents with high mortality rates, and the likelihood of survival is remarkably superior when detected early. Health care providers, particularly dentists, play a critical role in early detection of oral cancers and should be knowledgeable and skillful in oral cancer diagnosis. Purpose: The aim of the present study was to assess the current knowledge of future Yemeni dentists and their opinions on oral cancer. Materials and Methods: A pretested self-administered questionnaire was distributed to fourth and fifth year dental students. Questions relating to knowledge of oral cancer, risk factors, and opinions on oral cancer prevention and practices were posed. Results: The response rate was 80%. The vast majority of students identified smoking and smokeless tobacco as the major risk factors for oral cancer. Most of the students (92.6%) knew that squamous cell carcinoma is the most common form of oral cancer, and 85.3% were aware that tongue and floor of the mouth are the most likely sites. While the majority showed willingness to advise their patients on risk factors, only 40% felt adequately trained to provide such advice. More than 85% of students admitted that they need further information regarding oral cancer. As expected, students of the final year appeared slightly more knowledgeable regarding risk factors and clinical features of the disease. Conclusions: The findings of the present study suggest that here is a need to reinforce the undergraduate dental curriculum with regards to oral cancer education, particularly in its prevention and early detection.

중환자실 환자의 입실 시 욕창 유병률과 위험요인 (Pressure Ulcer Prevalence and Risk Factors at the Time of Intensive Care Unit Admission)

  • 곽혜란;강지연
    • 성인간호학회지
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    • 제27권3호
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    • pp.347-357
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    • 2015
  • Purpose: This study was conducted to assess the prevalence rate of, and the risk factors for pressure ulcers in critical patients at the time of intensive care unit (ICU) admission. Methods: We reviewed the electronic medical records of 2,107 patients who were admitted to the intensive care units in D university hospital between January 1 and December 31, 2012. The collected date were analyzed by ${\chi}^2$-test, t-test, and multi-variate logistic regression with forward stepwise selection using the SPSS program version 21. Results: The prevalence rate of pressure ulcers at the ICU admission was 23.7%. Risk factors significantly affecting pressure ulcers carrying were the age of 80 years or older (OR=3.70, 95% CI: 1.80~7.60), body weight less than 50 kg (OR=2.82, 95% CI: 1.74~4.56), sedated consciousness (OR=6.10, 95% CI: 3.57~10.40), use of ventilator (OR=1.60, 95% CI: 1.02~2.49), use of vasopressors (OR=1.53, 95% CI: 1.09~2.14), ICU admission via operation room (OR=0.49, 95% CI: 0.29~0.85), and hospital admission from nursing homes (OR=13.65, 95% CI: 3.02~61.72). Conclusion: The findings of this study suggested that the prevention efforts for pressure ulcers should be given in prior to ICU admission. Further research is necessary for developing nursing interventions for preventing pressure ulcers in the pre-ICU stage.

Hospital-Acquired Pressure Injury: Clinical Characteristics and Outcomes in Critical Care

  • Hyun, Sookyung;Moffatt-Bruce, Susan;Newton, Cheryl;Hixon, Brenda
    • International Journal of Advanced Culture Technology
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    • 제7권2호
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    • pp.28-33
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    • 2019
  • Electronic health records (EHRs) enable us to use and re-use electronic data for various multiple purposes, such as public reporting, quality improvement, and patient outcomes research. Current hospital-acquired pressure injury (HAPI) risk assessment instruments have not been specifically developed for intensive care unit (ICU) patients and showed false positive rates in this specific populations. Previous research studies report a number of risk factors; however, it is still not clear what factors influence ICU HAPI in this population. As part of a larger research study, we performed an exploratory analysis by using a large electronic health record data. The aims of this study were to compare characteristics of patients who developed HAPIs during their ICU stay with those who did not, and to determine whether the two groups were different in the aspects of length of ICU stay, discharge disposition, and discharge destinations. We conducted chi-square test and t-test for group comparison. Association was examined by using bivariate analyses. Pearson correlation coefficients were used to examine correlation between LOS and number of medications. Our findings suggest a number of consistent and potentially modifiable risk factors, such as sedation, feeding tubes, and the number of medications administered. The mortality of the HAPI group was significantly higher than the non-HAPI group in our data. Discharge disposition was significantly different between the groups. 67% of the HAPI group transferred to intermediate or long-term care hospitals whereas 57.7% of the non-HAPI group went home after discharge. Awareness of these risk factors can lead to clinical interventions that can be preventative in the ICU setting.

A Systematic Review on Human Factors in Cybersecurity

  • Alghamdi, Ahmed
    • International Journal of Computer Science & Network Security
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    • 제22권10호
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    • pp.282-290
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    • 2022
  • A huge budget is spent on technological solutions to protect Information Systems from cyberattacks by organizations. However, it is not enough to invest alone in technology-based protection and to keep humans out of the cyber loop. Humans are considered the weakest link in cybersecurity chain and most of the time unaware that their actions and behaviors have consequences in cyber space. Therefore, humans' aspects cannot be neglected in cyber security field. In this work we carry out a systematic literature review to identify human factors in cybersecurity. A total of 27 papers were selected to be included in the review, which focuses on the human factors in cyber security. The results show that in total of 14 identified human factors, risk perception, lack of awareness, IT skills and gender are considered critical for organization as for as cyber security is concern. Our results presented a further step in understanding human factors that may cause issues for organizations in cyber space and focusing on the need of a customized and inclusive training and awareness programs.

위험도 모델링을 이용한 시공단계의 감리업무 평가모델 (Construction Management Evaluation Model using Risk Index Modeling in Construction Phase)

  • 류진영;모용운;김경래
    • 한국건설관리학회논문집
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    • 제1권3호
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    • pp.89-100
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    • 2000
  • 본 논문은 건설 감리 수행시 영향을 미치는 계층적 관리요소를 분석하여 감리사업 평가 모델을 구축함으로써 감리 프로젝트 수행시의 효율을 극대화시키는데 그 목적이 있다. 연구는 현장 실무자에 대한 설문조사를 통해 감리사업의 현황과 영향요소를 산정하였고, 이를 바탕으로 현장 감리자의 운영 및 관리능력을 평가할 수 있는 평가 모델을 구축하였다. 이러한 평가도구를 감리사업의 의사결정 및 평가 프로세스에 반영하여 전반적인 사업관리상의 효율을 증대시킬 수 있다.

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Critical Factors Affecting Consumer Intention of Using Mobile Banking Applications During COVID-19 Pandemic: An Empirical Study from Vietnam

  • SANG, Nguyen Minh
    • The Journal of Asian Finance, Economics and Business
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    • 제8권11호
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    • pp.157-167
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    • 2021
  • The study analyzes the factors affecting the intention and recommendation to use the mobile banking applications of 314 customers from Vietnam. The study analyzes 7 factors affecting the intention and recommendation to use the mobile banking applications of customers from Vietnam, including (i) Perceived risk; (ii) Perceived ease of use; (iii) Perceived usefulness; (iv) Attitude; (v) Perceived trust; (vi) Social image; and (vii) Innovativeness. Besides, the study also analyzes 4 variables that reflect the customer's demographics, including gender, age, education, and occupation, and 6 variables describing the behavior of customers using mobile banking applications. The study findings indicate that the following factors (i) Innovativeness; (ii) Attitude; (iii) Perceived risk; (iv) Perceived ease of use, and (v) Perceived trust have the most significant impact on customers' behavior of using mobile banking applications in emerging markets such as Vietnam in the context of prolonged pandemic and continuous lockdown in many provinces and cities. The study is also of great value to studies on behavior changes among customers using mobile banking applications after the COVID-19 pandemic in Vietnam. The study will provide additional empirical evidence useful to bank administrators in motivating customers to use mobile banking applications, helping develop a digital economy in Vietnam.

Critical Care Management Following Lung Transplantation

  • Jeon, Kyeongman
    • Journal of Chest Surgery
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    • 제55권4호
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    • pp.325-331
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    • 2022
  • Postoperative critical care management for lung transplant recipients in the intensive care unit (ICU) has expanded in recent years due to its complexity and impact on clinical outcomes. The practical aspects of post-transplant critical care management, especially regarding ventilation and hemodynamic management during the early postoperative period in the ICU, are discussed in this brief review. Monitoring in the ICU provides information on the patient's clinical status, diagnostic assessment of complications, and future management plans since lung transplantation involves unique pathophysiological conditions and risk factors for complications. After lung transplantation, the grafts should be appropriately ventilated with lung protective strategies to prevent ventilator-induced lung injury, as well as to promote graft function and maintain adequate gas exchange. Hypotension and varying degrees of pulmonary edema are common in the immediate postoperative lung transplantation setting. Ventricular dysfunction in lung transplant recipients should also be considered. Therefore, adequate volume and hemodynamic management with vasoactive agents based on their physiological effects and patient response are critical in the early postoperative lung transplantation period. Integrated management provided by a professional multidisciplinary team is essential for the critical care management of lung transplant recipients in the ICU.

Critical financial variation of ratios between healthy and workout construction firms

  • Im, Haekyung;Choi, Jaehyun
    • 국제학술발표논문집
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    • The 6th International Conference on Construction Engineering and Project Management
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    • pp.354-356
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    • 2015
  • As domestic recession has had an adverse impact on many Korean companies in Korea, financial soundness has become a critical issues. It is essential to identify financial risk factors to prevent workout as well as to improve the financial condition of domestic construction companies. Therefore, this study derived important management indicators and the financial ratios that belong to each indicator through a comparative analysis between healthy companies and workout companies with financial statement. As a consequence, key financial ratios are derived into 3 of 25 ratios; Equity Ratio in stability indicator, Total Asset Turnover Ratio in activity indicator, and Labor Equipment Ratio in productivity indicator. So, Korean construction firms are required close monitoring these critical financial ratios indicating variation between construction companies which have opposing statuses in finance in order to keep sound financial condition and increase productivity.

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Chronic Obstructive Pulmonary Disease Combined with Interstitial Lung Disease

  • Choi, Joon Young;Song, Jin Woo;Rhee, Chin Kook
    • Tuberculosis and Respiratory Diseases
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    • 제85권2호
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    • pp.122-136
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    • 2022
  • Although chronic obstructive pulmonary disease (COPD) and interstitial lung disease (ILD) have distinct clinical features, both diseases may coexist in a patient because they share similar risk factors such as smoking, male sex, and old age. Patients with both emphysema in upper lung fields and diffuse ILD are diagnosed with combined pulmonary fibrosis and emphysema (CPFE), which causes substantial clinical deterioration. Patients with CPFE have higher mortality compared with patients who have COPD alone, but results have been inconclusive compared with patients who have idiopathic pulmonary fibrosis (IPF). Poor prognostic factors for CPFE include exacerbation, lung cancer, and pulmonary hypertension. The presence of interstitial lung abnormalities, which may be an early or mild form of ILD, is notable among patients with COPD, and is associated with poor prognosis. Various theories have been proposed regarding the pathophysiology of CPFE. Biomarker analyses have implied that this pathophysiology may be more closely associated with IPF development, rather than COPD or emphysema. Patients with CPFE should be advised to quit smoking and undergo routine lung function tests, and pulmonary rehabilitation may be helpful. Various pharmacologic agents and surgical approaches may be beneficial in patients with CPFE, but further studies are needed.

인터넷전문은행의 성공요인과 국내 도입시 고려요인에 관한 다중사례 연구 (The Critical Success Factors of Internet Banks and Considerable Points When Introducing into Domestic Markets)

  • 조동환;이호근
    • 한국콘텐츠학회논문지
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    • 제9권12호
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    • pp.600-612
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    • 2009
  • 최근 들어 설립 가능성이 높아지고 있는 인터넷전문은행은 고객과의 거래행태, 위험관리, 자본력, 지점 네트워크 등에서 일반은행과 상이한 특성을 가지고 있다. 이러한 인터넷전문은행의 성공 및 실패요인에 대해 기존 연구에서는 조직 생태학적 관점에 기반하여 규모의 경제와 학습 효과로만 설명하고 있다. 본 연구에서는 이러한 조직 생택학적 관점 대신에 조직의 전략적 선택 관점과 자원 기반 관점에 근거하여 인터넷전문은행의 성공요인을 도출하고자 하였다. 이를 위해 해외의 주요 인터넷전문은행 31개를 대상으로 은행의 규모와 수익성에 따라 구분하여 3개의 전략그룹을 도출하였으며, 각각의 전략그룹을 대표하는 기업 사례를 심층 분석하였다. 다중사례분석 결과, 인터넷전문은행의 주요성공요인이 도출되었으며, 국내 도입시 고려해 야 할 요인에 대한 논의가 이루어졌다.